Individual
LAUREN ELISE COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-1735
(502) 852-6056
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
(502) 587-4784
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
218171
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
3013970
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300039443
—
IN
05
—
7100580990
—
KY
Enumeration date
11/07/2018
Last updated
07/08/2020
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